Perioperative Optimization
Contributing roughly 50–75% of total hospital revenue while accounting for 30–40% of operating expenses, Periop is a prime target for optimization.
Hospitals and health systems are under constant pressure to reduce costs and increase revenue, and recent legislation (i.e., OBBBA) is expected to tighten the squeeze. Because perioperative departments – including pre-op, surgery, anesthesia, procedural areas (such as Endoscopy, Cath Lab, EP Lab, and Interventional Radiology), PACU, sterile processing, etc. – account for 50-75% of hospital revenue and 30-40% of expenses, they are a valuable yet complex target for optimization.
Challenges
Opportunities for improvement in both care and efficiency exist at several points in the patient’s perioperative journey, from scheduling through discharge (or admission to the hospital), and the impacts are felt across multiple functions, including workforce management, IT&S, revenue cycle, and supply chain.
- Lack of strong, collaborative governance
- Ineffective scheduling and utilization
- Staffing shortages and dynamics
- Inefficient workflows and high turnover times
- Poor supply and resource management
- Ineffective and inefficient documentation and data
Value Delivered
How We Deliver Value
Combining clinical operations, supply chain, revenue cycle, analytics, and IT expertise, we develop and implement tech-enabled optimization solutions to improve the financial and operational performance of your surgical and procedure rooms (e.g., Endo, Cath Lab, EP Lab, and Interventional Radiology), as well as the sterile processing and other areas that supply and support them.
Align Perioperative Strategy with Enterprise Priorities
Surgical services must advance broader organizational goals — growth, market competitiveness, physician alignment, and financial sustainability.
Impact Advisors helps organizations:
- Define a clear, enterprise-wide perioperative strategy
- Forecast surgical demand and model capacity requirements
- Optimize site-of-care strategy across inpatient, outpatient, and ASC settings
- Prioritize capital investments and facility planning
- Design effective governance and collaborative leadership structures
We ensure perioperative services are positioned to support long-term system performance and growth.
Unlock Capacity and Improve Throughput
Many organizations have untapped OR capacity. The challenge is not space — it is performance.
We work alongside leadership and frontline teams to improve:
- First-case on-time starts
- Turnover efficiency
- Block utilization and allocation
- Scheduling processes and release rules
- Pre-op and PACU flow
- Daily management systems and escalation pathways
Our approach combines operational redesign with real-time performance visibility — increasing access, improving surgeon satisfaction, and expanding case volume without unnecessary capital investment.
Improve Financial Performance and Margin
Perioperative services are a primary driver of contribution margin. Optimizing operations and cost structure directly impacts enterprise performance.
Impact Advisors supports:
- Service line profitability and case mix analysis
- Surgical growth opportunity identification
- Outmigration assessment and retention strategy
- Labor productivity improvement and overtime reduction
- Supply standardization and implant cost governance
- Site-of-service financial modeling
We align operational improvement with financial strategy to deliver sustainable margin enhancement.
Advance Quality, Safety, and Clinical Standardization
Operational excellence must reinforce clinical excellence.
We help organizations:
- Implement evidence-based perioperative pathways (including ERAS)
- Reduce surgical site infections and variation in care
- Optimize sterile processing performance
- Strengthen regulatory readiness and compliance
- Standardize perioperative protocols across sites
- Implement a culture of safety
Our work reduces variation, improves outcomes, and supports consistent, high-quality, safe surgical care.
Strengthen Workforce Performance and Physician Alignment
Perioperative performance depends on engaged teams and aligned physician leadership.
Impact Advisors assists with:
- Staffing model redesign and flexible workforce strategies
- Cross-training and skill optimization
- Agency labor reduction
- Transparent surgeon performance dashboards
- Governance and incentive alignment frameworks
We foster a culture of shared accountability, transparency, and continuous improvement.
Enable Performance Through Technology and Analytics
Technology should drive insight, not complexity.
Our team integrates operational improvement with digital enablement, including:
- Optimization of perioperative EHR modules (Epic, Oracle Health, and others)
- Surgical scheduling and documentation redesign
- Real-time OR performance dashboards
- Predictive case duration and scheduling analytics
- Robotics and emerging technology assessments
We ensure systems, data, and workflows work together to support sustainable performance.
Support Ambulatory and ASC Growth
As surgical care continues to migrate to lower-cost settings, organizations must adapt strategically.
Impact Advisors provides:
- ASC feasibility and partnership analysis
- Ambulatory operating model design
- Joint venture strategy support
- Inpatient-to-outpatient migration planning
- Multi-site surgical network integration
We help health systems expand access while protecting margin and strengthening competitive position.
Our Leaders
Kaye Reiter, MSN, RN, NE-BC
Periop Optimization Leader
Kaye is an executive nurse and experienced leader in defining and implementing strategic direction for perioperative departments to achieve financial and performance objectives. She is experienced with design, flow, and opening of new or renovated state-of-the-art operating rooms and sterile processing departments. She is excellent at working collaboratively with physicians, nurses, and perioperative staff to improve quality, safety, and physician satisfaction while ensuring exceptional operational efficiency.
Melissa Lingle, MBA, BSN, RN
Perioperative Optimization Expert
Melissa is an experienced nursing leader who is adept at facilitating large-scale projects and implementing strategies that support operational objectives. She develops and maintains relationships with members of the medical staff and executive leaders to foster open communication. She functions at an enterprise level to promote standardized processes across multiple campuses and inclusion at a system level. Melissa possesses patience, focused energy, and the capacity to manage in a complex environment.
Chana Roller, MBA
Supply Chain Optimization Expert
Chana is an experienced healthcare consultant and leader with demonstrated skills in supply chain management, change management, contract design, and clinical optimization. She exhibits a proven ability to assess issues, plan strategy, implement, maintain, manage/measure projects, and lead teams. Chana employs strong communication skills to influence vendors and guide clinical staff to successful change.
Performance Improvement, Periop Optimization
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