From Fragmentation to Systemness: MultiCare’s Playbook for Unifying 13 Hospitals and Completing 3,200 More Cases in One Year

Speakers

Chris Hunt-Multicare
Chris Hunt, MBA, MSHA, BSN, RN, CSSM, NEA-BC
Associate Vice President, Perioperative Services, MultiCare Health System
Katrina_Freitag_MultiCare
Katrina Freitag, MN, RN
Nurse Manager, Surgical Services, MultiCare Covington Medical Center

Summary

When surgical operations span 13 hospitals, fragmentation shows up everywhere—misaligned metrics, disconnected scheduling, and case volumes that don’t match capacity. At MultiCare Health System, perioperative leaders didn’t just fix these issues locally, they built a playbook to solve them system-wide.

In this session, learn how MultiCare created operational alignment that delivered measurable results, including a 25% increase in staffed room utilization and 3,200 additional cases completed in one year, all without adding new ORs.

You’ll hear how they:

  • Standardized governance, KPIs, and workflows to reduce variation
  • Defined shared access principles across roles and facilities
  • Matched case volume to site-level capacity to reduce over/under-utilization
  • Used real-time data and AI to uncover and reallocate hidden OR time

Walk away with practical strategies for turning alignment into impact and a clearer path to scalable OR performance.

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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.