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This document contains information on how Copient Health calculates specific metrics on our dashboards and reports.

Dashboards

Facility Dashboard

To use the Dashboard, select the date range you’re interested in. The Facility Dashboard defaults to an “All Blocks” view and will show aggregate data. To see utilization data for specific block holders or service lines, select the desired block from the dropdown menu. To download the raw data, click the “Download Spreadsheet” button.

All Case Hours include turnover credit in all calculations in all reports except in the instances of calculating Block Utilization for Flip Room block holders.

Recaptured Margin

Recaptured Margin is one way Copient Health measures our own success at your facility. Copient determines “Recaptured Margin” by looking at the new case hours (down to the minute) performed in voluntarily released block time, and then multiplying by $2860, an average contribution margin per hour as approximated by Dexter et. al., Anesth Analg. 2002 Jan;94(1):138-42, adjusted for inflation with CPI for healthcare

Total Additional Cases: The number of cases with overlapping time in a voluntarily released block

Total Additional Hours: The number of case hours* that overlapped time in a voluntarily released block. Note – we do not include non-overlapping case hours in this metric.

Average Contribution Margin: $2860/hr
Total Additional $: (Total additional Hours x $2860)

 

Facility-Wide Utilization

The “Facility-Wide Utilization” panel describes the overall performance of your facility and is ultimately determined by your facility’s business hours as configured in Copient. Closed rooms subtracted out of the Facility Open Hours

Facility Utilization = [(Surgical Case Hours)/Facility Open Hours] x 100

In-Block Hours = [(Block Case Hours)/Facility Open Hours] x 100

Non-Block Hours = [(Non-Block Case Hours)/Facility Open Hours] x 100

Block Utilization

The “Block Utilization” panel is a quick insight into the performance of individual block holders. The Block Holders are ranked by Block Rank which is derived from (Net Utilization x Allocated Block Hours).
These numbers mirror what the Block Holders see on the Block-specific dashboard.

Net Utilization = (Block Case Hours + Voluntary Release Hours/Block Hours) x 100
*This calculation can vary by facility. Some facilities calculate Net Utilization by subtracting Voluntary Release hours from Block Hours in the denominator.

Gross Utilization = (Block Case Hours/Block Hours) x 100

Block Cases: Number of surgical cases that received block credit. A case is a "Block Case" when at least one case minute overlaps the corresponding block.

Total Cases: All cases performed by the block holder regardless of block time

Block Hours: Number of allocated block hours

Block Case Hours: Case hours performed during block time for Block credit. Copient calculates all case minutes overlapping a block.

Non-Block Case Hours: Case hours performed outside of block time and did not receive block credit

Release Hours: Voluntarily Released Block Hours


Lost Hours: Block Time that was not voluntarily released and was not used for surgical cases

Turnover Hours: Total Turnover Credit received during Block Time

 

A Note About Block Utilization Calculations for Flip Room Block Holders

  • For single physician blocks that have two or more overlapping blocks on a given date (flip rooms), then Block Utilization should be calculated as the sum of unique surgical case minutes (excluding turnover time during block overlap) divided by the sum of unique block minutes
  • For single physician blocks that DO NOT have two or more overlapping blocks on a given date, then Block Utilization should be calculated as the sum of unique surgical case minutes (INCLUDING turnover time) divided by the sum of unique block minutes
  • For example, if a physician is given 7am to 3pm in BOTH rooms OR 1 and OR 2 and then has the following cases:
  1. Case 1: 7am-8am in OR 1
  2. Case 2: 8am-9am in OR 2
  3. Case 3: 9am-10am in OR 1
  4. Case 4: 10am-11am in OR 2

Then Gross Block Utilization for this "block period" should be 4hr (case time) / 8 hr (total time covered by the overlapping blocks) or 50%.

  • If the data reflects that the start time of a later case is earlier than the end time of an earlier case in overlapping blocks, then the time at the end of the first case shall count towards Block Utilization and the overlapping time in the second case shall only go towards Non-Block Case Hours. As such, there can never be higher than 100% Block Utilization.
  • In the case of a "flip room," the calculation of NET Block Utilization credit should allow for any given release to count towards overall NET Block utilization once even if that time is released from both rooms. We want to see the released time as available in Find Open Time so each release counts as a "release" BUT when calculating NET Block Utilization, if you release four hours from the block in room 1 and then the same 4 hr in room 2, then the NET Block Utilization "release credit" is 4 hours and not 8hrs.
    • Unique release minutes count only once for NET Block Utilization.
  • Turnover Credit
    • Note the difference between turnover time and turnover credit:
      • Turnover time: wheels out to wheels in between cases in the same room.
      • Turnover credit: Business rules-driven and facility-specific. Time added to surgical case time for utilization calculations.
    • For clients that apply turnover credit to the BEGINNING of cases the Block Utilization Turnover Credit Rule is as follows:
      • If a case BEGINS at a time when an individual physician Block Holder has a flip room, they do NOT get turnover credit applied for that case.
    • For clients that apply turnover credit to the END of cases the Block Utilization Turnover Credit Rule is as follows:
      • If a case ENDS at a time when an individual physician Block Holder has a flip room, they do NOT get turnover credit applied for that case.

Weekday Utilization – Net (Gross)

The “Weekday Utilization” panel can be used to determine weekday trends in block utilization. Copient will show each day’s average block utilization. The first number is the average Net Block Utilization and the number in parenthesis is the average Gross Block Utilization.


Surgery Hours

The “Surgery Hours” panel shows when surgical cases are performed.


Before Open includes surgical case hours that occurred before the facility opens

Morning includes surgical case hours performed from facility open – 11:59 am

Afternoon includes surgical case hours performed from 12:00 pm – facility close

After Close includes surgical case hours that occurred after the facility closes

Block Time Unused by Assignee(s)

The “Block Time Unused by Assignee(s)” panel shows how block time was utilized as a whole.

Lost Block Time (Hrs) = (total block hours – voluntary release hours – block case hours) Released/Unfilled Time = (total voluntary release hours – new case hours)
Reclaimed Block Time = new case hours that overlap with voluntary release hours

Top 5 Late First Case Rooms

“Late” and “First Start” are defined at the facility-level. Based on your facility’s business rules, you can use this panel to see which ORs have the most late first start cases.

Top 5 Late First Start Physicians

“Late” and “First Start” are defined at the facility level. Based on your facility’s business rules, you can use this panel to see which physicians have the most late first-start cases. This panel includes non-block holders as any physician’s late first start will impact the facility’s operations.

Late First Start % = (total late first start cases/total first start cases) x 100

Top 5 With Most Lost Block Time

The “Top 5 with Most Lost Block Time” panel will show which block holders have the most Lost Block Time.

Lost Hours = (total block hours – voluntary release hours – block case hours)

Released/Recaptured Time

The “Released/Recaptured Time” panel shows the amount of voluntarily released time, and how much of that was subsequently filled with cases (“reclaimed”) also known as the facility’s “Backfill Rate.” The average facility backfill rate is around 45%, but Copient recalculates each facility’s backfill rate every 2 weeks.

Block Alert/Release Pipeline

The “Block Alert/Release Pipeline” is used to determine how many Block Alerts Copient sent to block holders, and how many of those blocks were subsequently voluntarily released.
Note – Copient creates alerts based on the prediction model but might not send them to block holders based on business rules such as “maximum days in advance to alert” and “minimum time to release.” If there are many unsent alerts, consider changing your facility settings to maximize the amount of unfilled block time that Copient can request be released from block holders.

Release Averages

The “Release Averages” panel shows the facility’s average number of block hours that get voluntarily released each time and the average number of days before the block date those releases occur.


While Vacation and Voluntary releases work the same way under the hood (same amount of release credit and Net Utilization impact), Block Holders can mark releases as “Vacation” for additional reporting insights. All Vacation releases are Voluntary, but not all Voluntary Releases are Vacation releases.

Vacation releases frequently occur as a result of the automated Vacation Reminder that Copient sends out at the beginning of each month.

Block Dashboard

To Use the Block Dashboard, select the date range you’re interested in. The Facility Dashboard defaults to an “All Blocks” view and will show aggregate data. To see utilization data for specific block holders or service lines, select the desired block from the dropdown menu. To download the raw data, click the “Download Spreadsheet” button.

Permissions note: While Facility users can see all data for all blocks, Block Holders can only view the data for blocks and groups of which they are a part.

Block Rank

Block Rank is derived from (Net Utilization x Allocated Block Hours). Block holders are ranked against other block holders. Service Lines are ranked against other Service Lines.

Gross Utilization

Gross Utilization = (Block Case Hours + Turnover Credit/Block Hours) x 100
Placement on the orange line represents where this block holder/service line stands compared to their peers with regard to this metric.

Net Utilization

Net Utilization = (Block Case Hours + Turnover Credit + Voluntary Release Hours/Block Hours) x 100
*This calculation can vary by facility. Some facilities calculate Net Utilization by subtracting Voluntary Release hours from Block Hours in the denominator.

Placement on the orange line represents where this block holder/service line stands compared to their peers with regard to this metric.

Block Room Usage

The “Block Room Usage” panel describes how the block holder utilized their block.

Block Hours: total allocated block hours

Block Case Hours: Case hours performed during block time for Block credit

Lost Hours = (total block hours – voluntary release hours – block case hours)

Voluntary Release Hours: Block time that was voluntarily released from the block by either the block holder or the facility user.

This specific metric on this panel does not include vacation releases.
Voluntary Release hours contribute toward Net Utilization.

Vacation Release Hours: Block time that was voluntarily released from the block holder by using the Vacation Release workflow. In other panels, this metric is often lumped under Voluntary Release Hours, but here it is separated out.
Vacation Release hours contribute toward Net Utilization.

Mandatory Release Hours: Block time that was mandatorily released from the block either manually by the facility user or automatically based on business rules.
Mandatory Release hours do not contribute toward Net Utilization.

Non-Block Case Hours: Case hours performed outside of block time
Non-block case hours do not contribute toward block utilization (gross or net) but are captured and used for making block allocation decisions.

Average Days Booked in Advance

The “Average Days Booked in Advance” panel will show the booking patterns of block holders. Specifically, Copient captures how many calendar days before the block date a case gets added to your OR scheduling system. Case updates and rescheduled events do not change the original “booked on” date.

Note – The Copient “Booked On” date reflects when Copient first received the booking through the scheduling interface, not when the booking was first sent to the facility.

Per Block Utilization

The “Per Block Utilization” panel shows every block date during the selected time period. An “empty” date means the block holder did not perform cases that counted toward block utilization that day. Block time might have been voluntarily released, but it was not released early enough for Net Utilization credit.

– The blue bar shows Gross Utilization.
– The orange bar shows Net Utilization.
– The green line is a facility-specific metric. This line typically indicates the minimum Gross Utilization the block holder needs to maintain in order to keep their block time.

Block Utilization Trends

The “Block Utilization Trends” panel shows historical block utilization data based on the time frame selected. When a year is selected from the date range, the trending data will show utilization year over year. Any date range smaller will show monthly utilization data.

Weekday Utilization

The “Weekday Utilization” panel shows the same Block Utilization data as the “Per Block Utilization” panel but with the added identifying weekday. Use this panel to look for trends in Block Utilization performance.

– The first number is Net Utilization
– The second number in parentheses is Gross Utilization

Block Alert/Release Pipeline – Block-specific

The “Block Alert/Release Pipeline” panel is used to determine how many Block Alerts Copient sent to this block holders, and how many of those blocks were subsequently voluntarily released.

Late First Start %

The “Late First Start %” panel shows what percentage of first starts the block holder started late. This panel only displays and measures the block holder’s first start cases, not all cases.

“Late” and “First Start” are defined at the facility level.

Lost Backfill Opportunity

The “Lost Backfill Opportunity” panel shows how many additional cases would have been performed at the facility had the block holder voluntarily released their unused block time before the mandatory release date based on the average facility backfill rate.

For example, if the Block Holder has 10 Lost Block Hours, and the facility backfill rate is 50%, the Lost Backfill Opportunity would be 5 hours.

10 lost hours x 50% = 5 hours
The Facility Backfill Rate is recalculated bi-weekly.

Dropdown Menu Reports

Non-Block Case Hours

To use the Non-Block Case Hours report, select the date range you’re interested in. The Non-Block Case Hours report lists all Block Holders who performed cases during the selected time period and specifies when they performed cases outside of their own allocated block time. Click the “Download Results” button to download this spreadsheet that includes additional data points such as AM/PM usage and Block Overflow Hours.

Block Overflow Hours: Case hours performed outside of a block when either the start or end of the case was in their allocated block.

Block Utilization

To use the Block Utilization report, select the date range you’re interested in. The Block Utilization Report shows all block holders with their aggregated data (“Totals”) and room-specific data.

To focus on a specific block holder, enter their name in the Search bar. To download the raw data, click the “Download Spreadsheet” button.

Block Day: The ‘*’ after the Block Day indicates that the block holder had multiple blocks on the same day. Surgical Cases may report duplicates in the daily records when a block holder has multiple blocks on the same day and they perform a surgical case not in their blocks’ rooms. The “Totals” record reports ALL surgical cases within the selected time period.

Room: The assigned block OR (not necessarily the room where the cases were actually performed)

Total Gross Utilization: (Block Case Hours/Block Hours) x 100 Block Case Hours = (surgical case minutes + turnover credit)

For Individual flip room block holders, Total Gross Utilization = the sum of unique surgical case minutes (excluding turnover time during block overlap) divided by the sum of unique block minutes

Total Net Utilization = (Block Case Hours + Voluntary Release Hours/Block Hours) x 100

For Individual flip room block holders, Total Net Utilization = sum of unique surgical case minutes (excluding turnover time during block overlap) + unique release credit minutes divided by the sum of unique block minutes

Block Cases: Number of surgical cases that received block credit

Total Cases: All cases performed by the block holder regardless of block time

Total Block Hours: Number of allocated block hours including overlapping block hours (ex. 2 overlapping 5 hour blocks = 10 total block hours)

For Individual flip room block holders, Total Block Hours = Number of unique allocated block hours
(ex. 2 overlapping 5-hour blocks = 5 block hours)

Block Case Hours: Case hours (including turnover credit hours) performed during block time for Block credit. Overlapping surgical case minutes in multiple blocks can count toward their respective blocks

For Individual flip room block holders, Personal Case Hours = Unique Case hours (not including turnover credit hours) performed during Block time

Non-Block Case Hours: Case hours performed outside of block time and did not receive block credit

Total Case Hours: All case hours (including turnover credit hours) performed. (Block Case Hours + Non-block Case Hours)

Turnover Hours: Total Turnover Credit received during Total Block Hours. Does not include turnover hours in non-block cases.

For Individual flip room block holders, Turnover Hours = Turnover Credit received during non-overlapping Block Hours (if any). Does not include turnover hours in non-block cases.

Voluntary Hours Released: Number of block hours voluntarily released either by the block holder or by a facility user.

Mandatory Hours Released: Number of block hours mandatorily released either by a facility user or automatically based on facility business rules. Mandatory releases do not give the block holder release credit.

Holder Released Hours Filled: New case hours by other physicians that overlap the Block Holder’s voluntarily released block hours (including both voluntary and vacation releases).

Block Hours Lost: Block Time that was not voluntarily released and was not used for surgical cases (includes all allocated block hours)

Block Utilization by Quarter

To use the Block Utilization by Quarter report, select the facility and specify Gross vs Net Utilization. The Block Utilization by Quarter report shows all block holders with their average Block Utilization for the last 5 quarters.

Block Utilization by Morning/Afternoon Report

To use the Block Utilization by Morning/Afternoon report, select the facility and block holder. The Block Utilization by Morning/Afternoon report shows the time of day the block holder performed their cases.
– Morning Utilization = (block case hours before 12pm)/ (block hours before 12pm)

– Afternoon Utilization = (block case hours after 12pm)/ (block hours after 12pm)

Booking Histogram

The Booking Histogram report shows facility users how many calendar days in advance a case was first booked in their scheduling system. The default view shows the booking frequency of each day in advance for the last 12 months. Users can select a physician to see their respective booking patterns in order to make a more customized per-block mandatory release policy.

When downloaded, the spreadsheet will display how many days prior to the procedure date each physician had most of their cases booked, their total number of cases, and the percentage of cases booked before or after the mandatory release date.

For example, if Urology had 27, 13, and 4 under the 70%, 80%, and 90% columns respectively, that means that in the last 12 months, Urology had 70% of their cases booked by 27 calendar days in advance, 80% of their cases booked by 13 calendar days in advance, and 90% of their cases booked by 4 days in advance.

This report looks at both in-block and non-block cases.

Facility Utilization by Quarter

The Facility Utilization by Quarter report shows the Facility utilization as calculated by: total case hours divided by total open hours. Case hours include turnover hours as calculated by facility rules.

Block Alert History

The Block Alert History report lists all block holders in the selected time frame who were sent Block Alerts. Every day the Copient prediction system looks in the future at upcoming blocks, and it makes a projection about whether or not it believes a specific block date is going to be fully utilized. If our algorithm looks at the future block and predicts that the block will not be fully utilized, we send a Block Alert to ask the block holder to release some of that time - specifically, to release the amount of time our algorithm is confident they aren’t going to use.

Lost Block Hours = (total block hours – voluntary release hours – block case hours)

% Block Lost = (Lost Block Hours / Total Block Hours)

Physician Released Hours = voluntary release hours by physician or physician scheduler. Releases created by facility users are not counted here.

Average Number of Rooms/Day = average number of rooms where block holder had overlapping block time in a given day

A note about alerting multi-room (“Flip Room”) Block Holders: when a block holder has overlapping blocks in multiple rooms on a given day, there is frequently unused time in between cases in each room as the block holder goes back and forth between rooms. Copient does not send Block Alerts asking block holders to release this time, even if the algorithm predicts low utilization. The only time multi-room Block Holders receive Block Alerts is when they meet ALL of the following criteria:

  • The Copient Algorithm predicts the block will not be filled

  • The amount of time Copient requests to be released is a contiguous amount of time

    greater than the minimum time to release (a facility-specific setting)

  • The time Copient requests to be released comes after the block holder’s last case of the

    day in either or both rooms.

Lost Earnings

The Lost Earnings report shows how much money the facility lost due to block holders not voluntarily releasing their unused block time. In this report, Copient pre-populates the following customizable fields for you:

  • Average Contribution Margin ($/hr): $2860 is the average contribution margin per hour as approximated by Dexter et. al., Anesth Analg. 2002 Jan;94(1):138-42, adjusted for inflation with CPI for healthcare

  • Percentage Reclaimed: The number of new case hours the facility can likely add into voluntarily released block time

Average Contribution Margin will vary by facility, block holder, and case type, but $2860/hr is a good starting point. A “Percentage Reclaimed” of 45% is on the conservative end of facility backfill rates.

To understand the data in the Lost Earnings report, think “Had Dr. Smith voluntarily released their unused block time (“Lost Time”), and the hospital was able to backfill just 45% of that time, the hospital wouldn’t have lost $Y. This report translates the abstract idea of block utilization into real-world capitalist consequences.

Physician Cases

The Physician Case Report will show all physician cases (block holders and non-block holders) that have been scheduled in the selected time frame. Depending on the time frame selected, this could include historical cases or future bookings.

Recaptured Margin

Recaptured Margin is one way Copient Health measures our own success at your facility. Copient determines “Recaptured Margin” by looking at the new case hours (down to the minute) performed in voluntarily released block time, and then multiplying by $2860, an average contribution margin per hour as approximated by Dexter et. al., Anesth Analg. 2002 Jan;94(1):138-42, adjusted for inflation with CPI for healthcare. In this report, Copient pre-populates the following customizable field “Average Contribution Margin ($/hr) for you.

How we define "recaptured:"
We look at every surgical case minute and try to assign that minute to something. Remember, we are room-agnostic and we want to truly determine if that case minute occurred because of a voluntary release or if you would have gotten it anyway. So we ask the following questions in the following order to determine if a case minute has been recaptured:
1. Can that minute be assigned to a block? If yes, it's a block case minute and will count toward block utilization. If no, then keep going.
2. Can that case minute be assigned to Facility scheduled Open time? If yes, that's a Non-block case minute. If no, then keep going.
3. Can that case minute be assigned to a voluntary release? If yes, then that case minute counts as recaptured time. If no, then it's a non-block case minute.
If a block holder releases their block time voluntarily and then books a case into their released time, we do not count that toward recaptured time. Even though it technically overlaps a release, they didn't add that case to the schedule because of that release. We just count it as Non-block case time. We're very conservative in giving credit for recaptured time (and what Copient takes credit for).
 

To understand the data in the Recaptured Margin report, think “Because Dr. Jones voluntarily released their unused block time, and another physician was able to book into that time, the hospital recaptured an additional $Y dollars of contribution margin. This report emphasizes the importance of block holders releasing their unneeded block time early enough so that someone else can use it.

The Recaptured Margin report lists all voluntary block releases in the designated time period and those that have overlapping time with new cases. 

Total Additional Cases: The number of cases with overlapping time in a voluntarily released block

Total Additional Hours: The number of case hours* that overlapped time in a voluntarily released block. Note – we do not include non-overlapping case time in this metric.

Average Contribution Margin: $2860/hr
Total Additional $: (Total Additional Case Hours x $2860)

Additional $: (Overlap with Release x $2860)

Scheduled Accuracy

The Scheduled Accuracy report shows facility users which physicians are overbooking and underbooking their cases. Scheduling inaccuracies lead to unfilled ORs and unplanned overtime costs. This report lists all physicians (block holders and non-block holders) who performed cases during the selected time frame and the impact their scheduling inaccuracies had on the hospital. Facility schedulers can use this data to make decisions about when and how to schedule physician‘s cases to optimize hospital operations.

Click “Email Surgical Case Data” to receive a spreadsheet with all physician cases and case details during the selected time frame.

Because the duration of a surgical case is unlikely to be exactly the same as it was scheduled for, Copient has included a configurable “Buffer Minutes” selection. If the case duration is off by fewer than the selected buffer minutes, the case is not considered “misscheduled.”

Overbooking: scheduled case duration > actual case duration
– For example, if Dr. Smith schedules a case for 2 hours and the actual case duration is 1 hour, Dr. Smith has overbooked his case by 1 hour.
– The consequence of overbooking cases is empty ORs. The Lost Revenue for an unused OR is about $63/minute

Underbooking: scheduled case duration < actual case duration
– If Dr. Jones schedules a case for 2 hours and the actual case duration is 3 hours, Dr. Jones has underbooked her case.
– The consequences of underbooking cases are delaying other cases and cases extending past scheduled open time resulting in increased labor costs due to unplanned staffing requirements.

Hold Utilization

The Hold Utilization report shows all Hold assignees in the selected time frame and how well they utilized that time by measuring how many cases they subsequently performed during that held time. Creating a Hold in Copient for a physician or group automatically makes that time unavailable for all other physicians looking for available time. So, it’s good to report which physicians are requesting non–block case time and then not using it.

Cases performed in any room by the Hold Assignee during the held time contribute to Hold Utilization. Downloading this data will list each individual Hold and provide additional information such as which Hold assignees performed cases that overlap their Hold time in the designated requested room and how many cases performed by any physician occurred in the Held time in the designated room.

Turnover Time

The Turnover Time report lists all physicians (block holders and non-block holders) who performed cases during the selected time frame. If turnover time is mismanaged, this can cause a chain reaction that may affect the hospital for days and ultimately results in lost money and reduced patient care. Decreasing the turnover time between cases may pave the way for additional cases to be scheduled, theoretically leading to increased revenue for the hospital.

The Turnover Time report measures both Turnover Credit and actual Turnover Time.

  • Actual Turnover Time: wheels out to wheels in between cases in the same room

  • Turnover credit: Business rules-driven and facility-specific. Time added to case time for

    utilization calculations.

Note:

  • For facilities that apply turnover credit to the END of cases, neither actual turnover time nor turnover credit is measured or applied to the last case of the day in each room

  • For facilities that apply turnover credit to the BEGINNING of cases, neither actual turnover time nor turnover credit is measured or applied to the first case of the day in each room

By default, the Turnover Time Report does not include flip room block holders in the displayed calculations. To include their stats, check the box that says “Include Flip Rooms.” The time between cases for flip room block holders is not a helpful measurement as that time is typically equal to the case duration of the physician’s case in her second blocked room.

In this report, you can specify whether or not you want to include situations when the following physician is different when calculating both Turnover Credit and Actual Turnover Hours. Copient defaults to show “All.” If you want to only include situations when the following physician is the same physician, click "Same." If you want to only include situations when the following physician is a different physician, click "Different."

Best practice is to select “All.” If you frequently select "Same," you should occasionally select “Different” too, and vice versa. Anytime there are huge swaths of time between cases, you need to be aware, as those gaps in the schedule impact operational efficiency regardless of which physicians were involved.

To download the raw case data, click the “Download Results” button. This spreadsheet lists each surgical case and includes data such as:

  • Patient in/Out times

  • Next case Physician

  • Next case In time

  • Flip Room (yes/no) – was this case part of a flip room block

  • Block Case (yes/no) – was this case part of someone’s block

Late First Starts

The Late First Starts report focuses on the first scheduled case of the day in each room. If the first case does not start on time, it has cascading effects leading to delays in subsequent cases and decreased efficiency throughout the day.

“Late” and “First Start” are defined at the facility level. “First Start” could be the first scheduled case in a room or it could only include cases scheduled to start at a specific time. A case could be considered “Late” when the actual start time was later than the scheduled start time, or there could be a facility-specified buffer in place. Based on your facility’s business rules, you can use this report to see which physicians have the most late first start cases, and the average number of minutes they are late. This report includes all physicians (block holders and non-block holders) who performed cases during the selected time frame. Physicians who performed no cases during this time will be left off this report. Physicians who performed cases but had no “First Starts” will be listed with “0” in the First Start Cases column.

On Time Starts

The On Time Starts report lists all physicians (block holders and non-block holders) who performed cases during the selected time range and shows what percentage of the time they started their cases on time. "On time" is defined at the facility level and is the same as the “Late Start” setting.

This report is for ALL cases, not just the first cases of the day. If you click the Download option, we'll give you a spreadsheet of all of the individual cases with their case details including:

  • if it was the first case of the day
  • if the prior case ran late
  • the amount of turnover time before the case
  • the prior case physician