OrthoNebraska, a physician-owned health organization that is comprised of 70+ providers and locations across Nebraska and Iowa, specializes in orthopedic services across a range of musculoskeletal specialties. In 2022, the hospital saw a record-setting year, performing over 11,000 cases in its 12 ORs. This represented a 7% increase in case volume from the previous year and a 20% increase since 2019.
70+ providers/locations across two states
11,000 OR cases performed in 2022
7% case volume increase YoY
To accommodate present and projected growth, OrthoNebraska converted four extended recovery rooms into multipurpose treatment rooms used to host pain and wide awake local-only hand procedures. Still, OrthoNebraska continued to face barriers in maximizing full utilization of their capacity.
Despite the volume growth and expansion of physical capacity, block assignments and some surgeons utilization at OrthoNebraska appeared to remain static. Leadership and surgeons desired a more proactive and flexible model, but were challenged to find and view the data they needed to do so. Pulling any utilization data was a tedious and manual process. Therefore, diving deep or in the moment resolution of questions and concerns was rarely possible, as the data that was available was outdated and not actionable. Efforts to improve utilization was a further challenge, as discovering available time slots required multiple phone calls, messages, and touchpoints to various teams and departments. The circumstances led to frustration for surgeons, whose offices struggled to book OR time for cases outside their block while their performance and efficiency metrics showed OR time going unused.
OrthoNebraska needed a solution that would make key data accessible, transparent, and as close to real-time as possible to enable leadership and surgeons to take timely action.
OrthoNebraska chose LeanTaaS’ AI-powered iQueue for Operating Rooms to address its operational challenges, implementing the solution in September 2022. iQueue provided on-demand data, supported a culture of accountability, gave users strategic levers to influence how open time was used to support organizational goals, and offered streamlined OR access to meet surgeons’ needs while optimizing efficiency.
OrthoNebraska leaders used iQueue to identify roadblocks to ideal performances, resulting in more cases fitting into prime-time hours and reduced overtime costs. Surgeons’ offices could use iQueue’s open table self-serve platform to find and request available time, as well as release time they did not need back into the marketplace. All users could access a full view of the upcoming OR schedule using iQueue, and find a re-purposed time that best fit with their schedule. iQueue enabled OrthoNebraska to effectively add more cases into prime-time OR operations at a more granular level and with more precision. With transparent, actionable data and tools to drive change, OrthoNebraska stakeholders were empowered to identify and remove the barriers to improving OR utilization and open capacity to accommodate growth.



Take the first step towards unlocking capacity, generating ROI, and increasing patient access.
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.
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.