Maximizing Released OR Time: How Inova Achieved a 46% Release Fill Rate to Drive ROI and Efficiency

Speakers

Kelly Connolly, Inova
Kelly Connolly, MHSA, PMP
Senior Director of the Surgery Service Line, Inova
Jane Yang, Inova
Jane Yang, MHA
Director of Operations, Perioperative Services, Surgery Service Line Administration, Inova
Caity Butler, Inova
Caity Butler, MSN, RN, CNOR
Manager of Centralized Scheduling, Inova

Summary

Every OR has open time—the real question is, what are you doing with it? For Inova Health System, the answer was millions in potential revenue and dozens of unbooked hours, hiding in plain sight. But instead of accepting lost capacity as the cost of complexity, they took a different path, one built on real-time data, scheduling governance, and frontline empowerment. In this session, Inova shares how they turned reactive scheduling into a scalable system of predictive orchestration.

Learn how their team:

  • Achieved a 46% release fill rate across OR and Endo (51% OR-only), turning open time into booked cases
  • Grew OR case volume by 8% and Endo case volume by 13% for top open-time requestors
  • Increased prime time utilization by 3%, improving efficiency in core business hours
  • Increased OR released minutes by 20%, expanding access to surgical time
  • Increased systemness, surgeon and staff satisfaction, and labor efficiency through culture change and engagement

Beyond the numbers, you’ll hear how they built cross-role buy-in, sustained adoption, and proved ROI with data that stands up in the boardroom. If you’re still relying on emails, spreadsheets, or hallway negotiations to fill OR time, this session offers a roadmap to unlock hidden capacity and the operational clarity to sustain it.

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Chapter 1: The Looming Challenge

If you work in the healthcare industry, or even if you’re just an interested observer, you don’t need a book to tell you that the financial pressure is on as never before. A perfect storm of circumstances is swirling together, one that will make survivability, not to mention profitability, a greater challenge for healthcare companies than we’ve seen in the modern era.

As with banks, retailers, and airlines, which had to rapidly enhance their brick-and-mortar footprints with robust online business models—it is the early movers eager to gain new efficiencies that will thrive and gain market share. The slow-to-move and the inefficient will end up being consolidated into larger health systems seeking to expand their geographical footprints.

The pressures on healthcare

Let’s look at just a few of the looming challenges healthcare must meet head-on.

An aging population

By the year 2030, the number of adults sixty-five years of age or older will exceed the number of children eighteen years or younger in the United States. We are living longer than our parents did. Positive news for sure, but problematic for several reasons.

The older we get, the more medical help we need. Older people have more chronic diseases. By 2025, nearly 50 percent of the population will suffer from one or more chronic diseases that will require ongoing medical intervention. This combination of an aging population and an increase in chronic diseases will create a ballooning demand for healthcare services.