Perioperative Services

A high-performing OR gives your surgical teams room to do their best work. The right approach helps get you there.

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The Challenge

Operating rooms are among the most valuable and resource-intensive components of a hospital or surgery center, yet many ORs run on underutilized block time and inconsistent throughput, leaving a high-margin department performing below its potential.

Scheduling is only part of the challenge. Care variation can also affect OR capacity, with differences in preference cards and provider-level practices driving higher costs and inefficiency. Lost OR capacity restricts case volume, which can force high-margin surgical procedures out of your facility and erode your operating margin.

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Why This Matters Now

  • Rising costs are putting more pressure on OR throughput and anesthesia staffing alignment
  • Growth ambitions can hit OR capacity limits before patient demand becomes a constraint
  • EHR and scheduling tools are often underused relative to what they can do for scheduling and block management
  • Without the right governance, OR improvements can be difficult to sustain, allowing performance to slip over time

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How We Help

Acuvance Coker works alongside your team to strengthen OR performance, improve throughput, and make better use of the capacity you already have. Our work includes:

  • Block schedule and room utilization to optimize block allocation and make the most of available OR capacity
  • OR throughput and efficiency improvement to improve first case starts, reduce turnover time, and increase daily case capacity
  • Governance and KPI monitoring, including the metrics and review structure needed to sustain improvement
  • Preference card and care variation management to bring surgeon preference cards in alignment and reduce the cost that provider-level variation adds to each case
  • Anesthesia utilization and staffing alignment to match anesthesia coverage to the OR schedule and case volume, reducing idle time and coverage gaps
  • Epic OpTime/OR Marketplace optimization to apply existing tools more effectively to scheduling and block management

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What Makes Our Approach Different

We take a client-led approach to perioperative services optimization, where your team leads the transformation, backed by our frameworks, benchmarks, and analytics. Working shoulder to shoulder with your staff from day one ensures your leaders build the internal capability to sustain long-term performance improvement.

We start with data to quantify and prioritize your highest-impact opportunities. This gives your team a clear, reliable roadmap of targeted initiatives tailored specifically for your operating environment.

Scheduling fixes alone cannot transform an OR. We partner directly with your surgeons and anesthesiologists to address the physician-level factors that shape surgical care delivery and capacity.

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What You Gain

  • Greater OR capacity from the rooms and block time you already have
  • More predictable surgical volume, with fewer disruptions to the OR day
  • Stronger financial performance from better use of OR resources
  • Lower avoidable costs associated with variation in surgical care
  • An OR operation that can adapt as surgical demand changes
  • Improvements that your team can sustain over time through clear accountability and performance monitoring

Why Trust Coker

For more than three decades, Coker has been a trusted partner to healthcare leaders and investors, delivering clarity, compliance, and confidence through every stage of the transaction and beyond.

Related Industry Insights & Resources

Positive outcomes are possible for you and your patients.

We approach every engagement with a results-driven mindset, leveraging our deep industry expertise and data-driven insights to develop strategies that drive meaningful, measurable improvements in performance.
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We partner with clients to navigate the dynamic challenges of managing a high-performing physician enterprise.

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